New York City Champions
Individuals in New York City can use this form to indicate their interest in being a program champion for any of the At-Risk Kognito simulations offered through the NYC Department of Health Mental Health.
Consider enrolling as your institution/organization's champion to receive:
1) Recognition for your institution/organization's efforts to support students and improve school safety
2) Monthly status updates about your institution/organization's participation, as well as tips and ideas for implementing the Kognito simulations in your community.
Phone Extension if needed
Name of School
Type of Institution
Combination High & Middle School
If 'Other' Please Specify
County where school located
Approximate number of students enrolled at your school
Approximate number of staff members
Do Not Fill This Out